Related Experiment Video
Updated: May 2, 2026
Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation
Published on: October 11, 2024
Cochleostomy versus round window insertions: influence on functional outcomes in electric-acoustic stimulation of the
Oliver F Adunka1, Margaret T Dillon, Marcia C Adunka
1*Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill; and †Department of Audiology, UNC Healthcare, Chapel Hill, North Carolina, U.S.A.
Objective:
To assess the potential influence of 2 different surgical access routes to scala tympani for hearing preservation cochlear implantation on outcomes.
Study Design:
Retrospective review.
Setting:
Tertiary care academic center.
Patients:
Twenty adult subjects participating in a prospective clinical trial on electric-acoustic stimulation. Subjects underwent cochlear implantation with attempted hearing preservation and subsequent ipsilateral electric-acoustic stimulation of the auditory system.
Interventions:
Eight subjects (40%) were implanted using a round window-related cochleostomy and 12 subjects (60%) via a round window approach.
Main Outcome Measures:
Postoperative acoustic hearing preservation and speech perception measures were obtained at defined intervals and compared for both groups with and without the use of the external speech processor.
Results:
The data demonstrate no statistically significant differences in postoperative outcomes for both preservation of residual hearing and unaided and aided speech perception between the cochleostomy and round window groups.
Conclusion:
The results of this investigation suggest that hearing preservation cochlear implantation can be performed either via a round window-related cochleostomy as well as via the round window membrane itself with similar outcomes in terms of both hearing preservation rates as well as speech perception measures.
